Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › MARSHFIELD › MCHS HOSPITALS INC

MCHS HOSPITALS INC

NPI: 1093221434 · MARSHFIELD, WI 54449 · Anesthesiology Physician · NPI assigned 12/21/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MUNSON, JOLYN controls 20+ related entities in our dataset. Read more

$11.82M
Total Medicaid Paid
408,119
Total Claims
348,100
Beneficiaries
236
Codes Billed
2018-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMUNSON, JOLYN (VP REVENUE CYCLE OPERATIONS)
Parent OrganizationMARSHFIELD CLINIC HEALTH SYSTEM INC
NPI Enumeration Date12/21/2017

Related Entities

Other providers sharing the same authorized official: MUNSON, JOLYN

ProviderCityStateTotal Paid
MCHS HOSPITALS INC MARSHFIELD WI $45.31M
MARSHFIELD CLINIC INC MARSHFIELD WI $19.61M
MCHS HOSPITALS INC EAU CLAIRE WI $12.41M
BEAVER DAM COMMUNITY HOSPITALS INC BEAVER DAM WI $10.58M
DICKINSON COUNTY HEALTHCARE SYSTEM IRON MOUNTAIN MI $10.23M
MCHS HOSPITALS INC LADYSMITH WI $7.36M
MCHS HOSPITALS INC WESTON WI $6.40M
MCHS HOSPITALS INC EAU CLAIRE WI $4.14M
MCHS HOSPITALS INC MINOCQUA WI $2.90M
DICKINSON COUNTY HEALTHCARE SYSTEM IRON MOUNTAIN MI $2.44M
DICKINSON COUNTY HEALTHCARE SYSTEM IRON MOUNTAIN MI $2.29M
MCHS HOSPITALS INC WAUSAU WI $1.84M
MCHS HOSPITALS INC WESTON WI $1.22M
MCHS HOSPITALS INC MINOCQUA WI $1.16M
MCHS HOSPITALS INC MARSHFIELD WI $988K
MCHS HOSPITALS INC LADYSMITH WI $867K
BEAVER DAM COMMUNITY HOSPITALS INC BEAVER DAM WI $847K
DICKINSON COUNTY HEALTHCARE SYSTEM IRON MOUNTAIN MI $648K
MCHS HOSPITALS INC MARSHFIELD WI $563K
MCHS HOSPITALS INC MINOCQUA WI $338K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 35,484 $953K
2019 63,918 $1.86M
2020 62,072 $1.72M
2021 74,591 $1.92M
2022 66,952 $1.86M
2023 63,557 $1.68M
2024 41,545 $1.83M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 86,218 78,545 $3.13M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 46,943 42,396 $1.21M
99215 Prolong outpt/office vis 14,190 12,988 $898K
99284 Emergency department visit for the evaluation and management, high severity 16,586 14,986 $556K
90834 Psychotherapy, 45 minutes with patient 8,357 5,426 $380K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 9,908 9,092 $304K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 38,589 33,744 $201K
96133 1,255 1,042 $192K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,181 1,480 $181K
99232 Subsequent hospital care, per day, moderate complexity 16,322 5,524 $169K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,946 3,646 $168K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,650 3,531 $163K
90791 Psychiatric diagnostic evaluation 1,457 1,337 $157K
74177 Computed tomography, abdomen and pelvis; with contrast material 4,217 3,850 $150K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 4,064 1,680 $144K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 4,865 3,320 $141K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 437 414 $138K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,072 2,989 $136K
99244 Office or other outpatient consultation, moderate to high complexity 2,060 1,918 $136K
96139 1,204 1,090 $132K
90847 Family psychotherapy with the patient present, 50 minutes 1,604 1,114 $131K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3,873 3,661 $123K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 1,469 1,384 $121K
96132 1,302 1,085 $120K
70450 Computed tomography, head or brain; without contrast material 4,989 4,586 $120K
90792 Psychiatric diagnostic evaluation with medical services 1,268 1,115 $112K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,004 1,856 $101K
99283 Emergency department visit for the evaluation and management, moderate severity 3,658 3,344 $93K
99245 1,234 1,120 $88K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,279 3,953 $76K
92523 841 804 $75K
77067 Screening mammography, bilateral, including computer-aided detection 2,834 2,533 $71K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 915 819 $67K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2,892 2,666 $64K
71046 Radiologic examination, chest; 2 views 11,402 10,588 $61K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,235 996 $58K
67028 Intravitreal injection of a pharmacologic agent 1,096 902 $57K
99233 Prolong inpt eval add15 m 2,629 1,187 $57K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,238 1,207 $55K
92015 Determination of refractive state 6,592 5,906 $51K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,122 1,004 $51K
71045 Radiologic examination, chest; single view 13,035 10,844 $48K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 1,053 1,013 $47K
99460 502 455 $46K
99243 868 814 $44K
97167 782 751 $41K
99205 Prolong outpt/office vis 407 380 $41K
3008F 4,507 4,332 $39K
96138 1,264 1,145 $38K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 699 650 $37K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 704 660 $34K
99238 Hospital discharge day management, 30 minutes or less 1,100 1,003 $34K
73630 5,123 3,988 $32K
92567 2,199 2,097 $31K
97597 2,050 1,401 $31K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 751 709 $28K
96118 204 197 $27K
D7240 Removal of impacted tooth - completely bony 261 65 $27K
96131 158 155 $24K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 468 53 $23K
95811 467 442 $23K
76818 583 277 $23K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 710 658 $22K
92340 Fitting of spectacles, except for aphakia; monofocal 1,784 1,649 $21K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 706 246 $21K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 635 591 $20K
78815 Positron emission tomography (PET) for limited area imaging 385 353 $20K
99239 Hospital discharge day management, more than 30 minutes 325 298 $19K
92134 2,347 2,085 $19K
96119 205 195 $19K
96130 171 167 $18K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 353 310 $18K
77063 Screening digital breast tomosynthesis, bilateral 1,599 1,435 $16K
71260 Computed tomography, thorax, diagnostic; with contrast material 477 411 $14K
71275 Computed tomographic angiography, chest, with contrast material 420 390 $14K
99223 Prolong inpt eval add15 m 481 407 $14K
73030 2,121 1,821 $14K
73610 1,996 1,778 $13K
92557 483 462 $13K
73562 1,900 1,503 $13K
99480 Subsequent intensive care, per day, low birth weight infant 148 37 $12K
72100 1,502 1,396 $12K
95810 Polysomnography; sleep staging with 4 or more additional parameters 158 142 $11K
99443 1,080 984 $10K
99183 134 26 $10K
70551 Magnetic resonance imaging, brain; without contrast material 169 154 $9K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 356 161 $9K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 226 203 $9K
76770 381 330 $8K
74018 1,550 1,309 $8K
99152 427 343 $7K
90837 Psychotherapy, 53 minutes with patient 170 90 $7K
99354 149 130 $7K
93320 319 286 $7K
59025 Fetal non-stress test 314 176 $7K
92341 316 308 $7K
D0140 Limited oral evaluation - problem focused 256 247 $6K
92579 234 219 $6K
94010 964 782 $6K
96136 164 157 $6K
90832 Psychotherapy, 30 minutes with patient 230 125 $5K
0002A 153 151 $5K
73130 844 605 $5K
11721 684 664 $5K
97166 108 100 $5K
96120 82 79 $5K
93971 489 432 $5K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 220 205 $5K
0001A 132 125 $5K
96156 102 91 $5K
73502 877 804 $4K
72125 Computed tomography, cervical spine; without contrast material 143 129 $4K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 158 118 $4K
D0160 113 95 $4K
76700 Ultrasound, abdominal, real time with image documentation; complete 131 128 $4K
93325 971 839 $4K
69210 527 494 $4K
D7230 26 12 $4K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 249 197 $4K
0003A 125 116 $4K
64493 66 41 $4K
64483 24 24 $3K
D7140 Extraction, erupted tooth or exposed root 88 12 $3K
99442 255 234 $3K
93297 532 498 $3K
90846 Family psychotherapy without the patient present, 50 minutes 51 41 $3K
93970 225 207 $3K
64635 20 13 $3K
99242 194 161 $3K
36573 16 14 $3K
90935 Hemodialysis procedure with single evaluation by a physician 113 49 $3K
73110 365 322 $3K
76705 Ultrasound, abdominal, real time with image documentation; limited 122 111 $2K
45380 Colonoscopy, flexible; with biopsy, single or multiple 12 12 $2K
90870 25 12 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity 289 124 $2K
99222 Initial hospital care, per day, moderate complexity 60 57 $2K
95251 209 196 $2K
D0150 Comprehensive oral evaluation - new or established patient 93 92 $2K
D0330 Panoramic radiographic image 47 45 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 64 28 $2K
76830 Ultrasound, transvaginal 73 61 $2K
76819 Fetal biophysical profile; without non-stress testing 65 39 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 48 42 $2K
D9222 79 69 $2K
72040 224 214 $2K
88112 65 45 $2K
93458 13 12 $2K
96116 48 42 $2K
64636 20 13 $1K
94375 185 178 $1K
93922 339 319 $1K
76820 70 28 $1K
76937 199 155 $1K
77080 179 170 $1K
76642 77 66 $1K
90674 373 368 $1K
0054A 34 34 $1K
74176 Computed tomography, abdomen and pelvis; without contrast material 42 41 $1K
76801 27 25 $995.86
93976 22 19 $963.05
72141 12 12 $941.27
99462 33 27 $926.59
96137 25 25 $839.11
99255 15 12 $831.18
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 25 24 $766.32
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 29 26 $662.78
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 39 37 $659.80
93295 32 27 $593.91
88342 27 24 $592.53
99292 39 12 $580.24
15275 44 28 $572.01
95886 26 26 $562.44
92133 58 51 $551.30
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 13 $536.58
94729 161 152 $498.81
73564 63 51 $482.95
95819 26 25 $480.56
20610 19 14 $471.02
90677 28 28 $466.64
73221 17 15 $452.27
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 67 55 $449.43
78264 13 13 $433.33
99220 13 12 $387.65
64494 19 14 $382.20
D9239 49 39 $378.11
D9243 49 39 $378.11
96154 14 13 $362.38
78226 19 16 $334.71
71250 13 12 $312.51
77001 40 38 $312.26
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 26 25 $298.87
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 25 25 $295.17
74230 27 24 $274.98
91065 23 13 $272.07
93880 25 24 $266.56
88141 34 26 $262.17
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 50 27 $249.44
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 21 13 $227.65
92587 84 83 $222.66
99282 Emergency department visit for the evaluation and management, low to moderate severity 13 12 $221.44
93294 39 38 $219.51
90656 15 14 $217.43
99451 12 12 $208.46
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 522 486 $205.19
90785 19 14 $196.75
90697 12 12 $184.20
G0426 Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth 30 19 $153.36
99441 34 30 $147.50
99221 15 15 $125.65
72082 14 12 $116.47
73140 13 12 $89.10
94726 17 13 $87.33
73590 18 15 $86.90
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 20 19 $53.21
G0127 Trimming of dystrophic nails, any number 27 26 $42.70
94060 12 12 $32.78
93990 12 12 $21.16
99309 Subsequent nursing facility care, per day, low to moderate complexity 25 23 $6.56
T2023 Targeted case management; per month 1,314 1,205 $0.00
99499 72 65 $0.00
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 14 14 $0.00
97803 33 33 $0.00
0124A 15 15 $0.00
88142 206 135 $0.00
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) 13 12 $0.00
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 40 36 $0.00
80048 Basic metabolic panel (calcium, ionized) 15 13 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 98 78 $0.00
85018 31 27 $0.00
81001 34 28 $0.00
36415 Collection of venous blood by venipuncture 207 173 $0.00
87081 24 19 $0.00
80053 Comprehensive metabolic panel 50 43 $0.00
84443 Thyroid stimulating hormone (TSH) 15 14 $0.00
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 14 14 $0.00